Individual provider Active NPI

Don Henry Wijaya, M.D.

  • Psychiatry Physician
  • Trenton, NJ
National Provider Identifier
1295008373
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA03238700 Issued in NJ
Practice address
601 Hamilton Ave
St Francis Medical Center
Trenton, NJ 08629-1915
Phone
(609) 599-5180
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA03238700 NJ Primary

Addresses

Primary practice location

601 Hamilton Ave
St Francis Medical Center
Trenton, NJ 08629-1915

Mailing address

601 Hamilton Avenue
St Francis Medical Center
Trenton, NJ 08629-1986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000715 NJ Practitioner - Psychiatry 5991774192 Reassigns benefits to 1 organization
Practice locations: Hamilton Township, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Trenton, NJ 08690-3542
Phone (609) 731-2889

650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03238700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hampton Inc CurrentSince Mar 2, 2013 Accepting new patients
Uhs of Hampton, Inc Psychiatry CurrentSince Mar 2, 2013 Accepting new patients

Locations

1001 Kings Hwy S
Cherry Hill, NJ 08034
Phone (609) 518-2253

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1295008373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAMILTON AVENUE",
            "address_2": "ST FRANCIS MEDICAL CENTER",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086291986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HAMILTON AVE",
            "address_2": "ST FRANCIS MEDICAL CENTER",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086291915",
            "telephone_number": "609-599-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJAYA",
        "first_name": "DON",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03238700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.